Helping Women and Girls Recover
Helping Women and Girls Recover
Helping Women and Girls Recover
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Helping</strong> <strong>Women</strong> <strong>and</strong> <strong>Girls</strong><br />
<strong>Recover</strong><br />
Stephanie S. Covington, Ph.D., L.C.S.W.<br />
Center for Gender <strong>and</strong> Justice<br />
Institute for Relational Development<br />
La Jolla, CA<br />
2008 Alcohol & Substance Abuse Summit<br />
September 10, 2008<br />
M<strong>and</strong>an, North Dakota
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong>:<br />
A Comprehensive Integrated Approach<br />
Theory of Addiction<br />
• Holistic health model<br />
• Chronic neglect of self in favor of something or<br />
someone else<br />
Theory of <strong>Women</strong>’s Psychological Development<br />
• Relational–Cultural Theory (Stone Center)<br />
Theory of Trauma<br />
• Three Stage Model (Herman)<br />
• Upward Spiral – A Transformational Model (Covington)
Voices: A Program of Self-discovery <strong>and</strong><br />
Empowerment for <strong>Girls</strong><br />
Theory of <strong>Girls</strong>’ Psychological Development<br />
• Relational Cultural-Theory (Stone Center, Gilligan, Brown)<br />
Theory of Attachment<br />
• Ainsworth, Bowlby, Harlow, Stern<br />
Theory of Trauma<br />
• Three Stage Model (Herman)<br />
• Transformational Spiral (Covington)<br />
Theory of Resilience<br />
• Biscoe, Wolin & Wolin<br />
Theory of Addiction<br />
• Holistic Health Model
Beyond Trauma: A Healing<br />
Journey for <strong>Women</strong><br />
Trauma Theory<br />
S<strong>and</strong>ra Bloom, M.D.<br />
Mary Harvey, Ph.D.<br />
Judith Herman, M.D.<br />
Peter Levine, Ph.D.<br />
Integrates cognitive-behavioral, expressive arts,<br />
guided imagery <strong>and</strong> relational therapy.
Beyond Trauma<br />
Themes<br />
• Safety<br />
• Empowerment<br />
• Connection (Aloneness)<br />
• Normal reactions (Shame)<br />
• Mind-body connection<br />
• Substance abuse<br />
• Woman-centered<br />
• Uses a variety of treatment strategies:<br />
psychoeducational, cognitive,<br />
relational, expressive
Points of Intervention<br />
• Cognitive<br />
• Behavioral<br />
• Affective
Brain<br />
Left Side of Brain<br />
• Analytic<br />
• Logical<br />
Right Side of Brain<br />
• Intuitive<br />
• Emotional
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong><br />
Four Modules<br />
• Self<br />
• Relationships<br />
• Sexuality<br />
• Spirituality
Voices<br />
Four Modules<br />
• Self<br />
• Connecting with Others<br />
• Healthy Living<br />
• The Journey Ahead
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong><br />
Self Module
Module A: Self<br />
Session 1<br />
Session 2<br />
Session 3<br />
Session 4<br />
Defining Self<br />
Sense of Self<br />
Self-Esteem<br />
Sexism, Racism, <strong>and</strong> Stigma<br />
(13 activities)
S<br />
Module A:<br />
Self<br />
E<br />
F<br />
L
Module A: Self<br />
Session 1 Who am I<br />
Session 2<br />
My Life Story<br />
Session 3<br />
Breaking the Silence<br />
Session 4<br />
The World <strong>Girls</strong> Live In<br />
Session 5<br />
Support <strong>and</strong> Inspiration<br />
(27 activities)
Five Senses Activity<br />
5 things you can see<br />
4 things you can touch<br />
3 things you can hear<br />
2 things you can smell<br />
1 thing you can taste
My Life’s Journey
Tree of Self Esteem
Me: Inside <strong>and</strong> Out
<strong>Recover</strong>y Scale<br />
Self Module<br />
Not at<br />
all<br />
Just a<br />
little<br />
Pretty<br />
much<br />
Very<br />
much<br />
I keep up my physical appearance<br />
(nails, hair, bathing, clean clothes)<br />
I exercise regularly<br />
I eat healthy meals<br />
I get restful sleep<br />
I go to work/school (or complete tasks)<br />
I can adapt to change<br />
I keep up my living space
<strong>Recover</strong>y Scale<br />
Self Module<br />
Not at<br />
all<br />
Just a<br />
little<br />
Pretty<br />
much<br />
Very<br />
much<br />
I take constructive criticism well<br />
I can accept praise<br />
I laugh at funny things<br />
I acknowledge my needs <strong>and</strong> feelings<br />
I engage in new interests<br />
I can relax without drugs <strong>and</strong> alcohol<br />
I value myself
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong><br />
Relationship Module
Module B: Relationships<br />
Session 5<br />
Session 6<br />
Session 7<br />
Session 8<br />
Session 9<br />
Family of Origin<br />
Mothers<br />
Mother Myths<br />
Interpersonal Violence<br />
Creating Healthy<br />
Relationships <strong>and</strong> Support<br />
Systems<br />
(18 activities)
O<br />
T<br />
Module B:<br />
Connecting with Others<br />
H<br />
E<br />
R<br />
S
Module B: Connecting with Others<br />
Session 6<br />
Session 7<br />
Session 8<br />
Session 9<br />
Session 10<br />
Session 11<br />
Session 12<br />
Communication<br />
My Family<br />
Mothers <strong>and</strong> Daughters<br />
Friendship<br />
Dating <strong>and</strong> Sexuality<br />
Supportive Relationships<br />
Abuse Relationships<br />
(36 activities)
Growth Fostering Relationships<br />
• Each person feels a greater sense of “zest” (vitality,<br />
energy)<br />
• Each person feels more able to act <strong>and</strong> does act<br />
• Each person has a more accurate picture of her/himself<br />
<strong>and</strong> the other person(s)<br />
• Each person feels a greater sense of worth<br />
• Each person feels more connected to the other<br />
person(s) <strong>and</strong> a greater motivation for connections<br />
with other people beyond those in the specific<br />
relationship<br />
Source: Stone Center, Wellesley College Wellesley, MA 02181
Outcomes of Disconnections<br />
(Non-mutual or Abusive Relationships)<br />
• Diminished zest or vitality<br />
• Disempowerment<br />
• Confusion, lack of clarity<br />
• Diminished self-worth<br />
• Turning away from relationships<br />
Source: Stone Center, Miller
Connecting with Others
My Family<br />
Me<br />
Key<br />
__Strong<br />
-------Weak<br />
--------Broken/no connection<br />
Confusing<br />
Angry
Domestic Violence<br />
Domestic Violence Questions<br />
1. Have you been hit or threatened in the last year<br />
2. Have your children been hit or threatened in the last year<br />
3. Have you ever been kicked<br />
4. Have you ever sustained bodily injury – bruises, cuts<br />
broken bones, etc.<br />
5. Do you know what a restraining order is<br />
6. Do you want more information
Domestic Violence (cont.)<br />
Responses<br />
1. I am afraid for your safety.<br />
2. I am afraid for the safety of your children.<br />
3. It will only get worse.<br />
4. I am here for you when you are ready.<br />
5. You deserve better than this.
Power <strong>and</strong> Control Wheel
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong><br />
Sexuality Module
Module C: Sexuality<br />
Session 10<br />
Sexuality <strong>and</strong> Addiction<br />
Session 11<br />
Body Image<br />
Session 12<br />
Sexual Identity<br />
Session 13<br />
Sexual Abuse<br />
Session 14 Fear of Sex while Clean<br />
<strong>and</strong> Sober<br />
(14 activities)
H<br />
E<br />
Module C:<br />
Healthy Living<br />
A<br />
L<br />
T<br />
H
Module C: Healthy Living<br />
Session 13<br />
Session 14<br />
Session 15<br />
Session 16<br />
Our Bodies<br />
Emotional Wellness<br />
Alcohol <strong>and</strong> Other Drugs<br />
Spirituality<br />
(24 activities)
Sexuality<br />
SEXUALITY is a developmental process<br />
SEXUALITY is an identification, an activity, a drive, a<br />
biological process, an orientation, an outlook<br />
It is who <strong>and</strong> how we are in the Universe<br />
SEXUAL GOOD HEALTH is the somatic, emotional,<br />
social <strong>and</strong> spiritual aspects of oneself integrated<br />
into one’s identity <strong>and</strong> style of life<br />
© Covington, 1995
Body Image
Sexual-Chemical Lifeline
Self - Soothing<br />
Alone<br />
With Others<br />
Daytime<br />
Night Time
My Body Image
Five Steps to Emotional Wellness<br />
1. Tune in to feelings.<br />
2. Name the feeling.<br />
3. Locate the feeling in your body.<br />
4. Express the feeling.<br />
5. Practice containment – which means<br />
holding your feelings in order to<br />
share <strong>and</strong> process them in a safe<br />
place with a trusted person.
Emotional Wellness (cont.)<br />
• Slow Down. Stop.<br />
• What am I feeling<br />
• Does the intensity of the feeling match<br />
the situation<br />
• How old am I… as I have this feeling
Sexual Bill of Rights<br />
My Sexual Bill of Rights<br />
I have the right to….
<strong>Helping</strong> <strong>Women</strong> <strong>Recover</strong><br />
Spirituality Module
Module D: Spirituality<br />
Session 15<br />
Session 16<br />
Session 17<br />
What is Spirituality<br />
Prayer <strong>and</strong> Meditation<br />
Creating a Vision<br />
(10 activities)
J<br />
O<br />
U<br />
Module D:<br />
Journey Ahead<br />
R<br />
N<br />
E<br />
Y
Module D: Journey Ahead<br />
Session 17<br />
Session 18<br />
Crossroads<br />
Packing for My Journey<br />
(9 activities)
Crossroads
Tenets of <strong>Women</strong>’s<br />
Spirituality<br />
• Recognizing the interrelatedness of<br />
all life<br />
• Honoring the dignity of the female<br />
• Appreciating the human body as the<br />
container of the spirit
Tenets of <strong>Women</strong>’s<br />
Spirituality (cont.)<br />
• Discovering the power of creating<br />
ritual<br />
• Perceiving work for ecological<br />
<strong>and</strong> social justice as a spiritual<br />
responsibility<br />
• Cultivating sensitivity to diverse<br />
multicultural experiences
Change language